DOI: 10.36347/sjams.2015.v03i03.003

Pages: 1060-1063

Abnormal uterine bleeding accounts for approximately 50% of the visits of adolescent girls to gynaecologists. These complaints encompass disorders ranging from minimal spotting to profuse bleeding and affect the quality of life in a majority of affected women. The aim of the study was to evaluate the incidence, clinical presentation, etiological factors and treatment outcomes of the inpatients suffering from puberty menorrhagia. This study was a retrospective analysis of 16 patients presenting with puberty menorrhagia requiring inpatient admission to Gynaecology ward, Cheluvamba hospital, Mysore during the period January 2012 to September 2013. There were 16 patients of puberty menorrhagia requiring admission. Most of the patients were in the age group of 14-16 yrs (62.5%). In majority of the patients the duration of symptoms was between 3-6months (37.5%). In the present study anovulation was the cause in 68.7% of cases. In the present study hypothyroidsm was present in 3 cases (18.7%). In the present study 12.5% patients had PCOD. No case of coagulation disorders and genital tuberculosis was seen. Out of the 16 patients 6 patients responded to treatment with normal menstrual flow at the end of 3 months and 7 patients required further treatment for 6 months. 3 cases were lost to follow up. Immaturity of the hypothalamic - pituitary ovarian axis resulting in anovulation remains the commonest cause of puberty menorrhagia. Approximately 20% of adolescents have an underlying endocrine or haematological disorder requiring targeted evaluation and treatment.